Madeleine M Valencerina, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A51043 Issued in CA

Practice address

14730 Beach Blvd Ste 123
La Mirada, CA 90638-4253

Phone

(714) 521-8262

Fax

(714) 521-8228

NPI assigned

Feb 23, 2007

Last updated

Jun 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madeleine M Valencerina MD Inc

  • Psychiatry Physician
  • La Mirada, CA
  • NPI 1043370158
  Medicare reassignment NPD Authorized official
• Los Angeles County Department of Mental Health

  dba GENESIS Countywide Older Adult Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment NPD
• Los Angeles County Department of Mental Health

  dba South Bay MHS -- FSP Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardena, CA
  • NPI 1760698112
  NPD
• Los Angeles County Department of Mental Health

  dba Arcadia Mental Health Center-Full Service Partnership

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1437284809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4500",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034500",
            "telephone_number": "714-521-8262",
            "fax_number": "714-521-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 BEACH BLVD STE 123",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384253",
            "telephone_number": "714-521-8262",
            "fax_number": "714-521-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCERINA",
        "first_name": "MADELEINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510431",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A510430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Care Homes, Inc. (Pure Joy 1)
• United Physicians Association Inc
• K. Leo Uyeda, O.D.
• Mercedes Valdes
• Shirley C Valdez, NURSE PRACTITIONER
• Valley View Drug Co. Inc.
• Valley View Drugs Inc (Valley View Rexall Drugs)
• Valley View Medical Clinic
• Caitlyn Elizabeth Vanhemelryck
• Xavier G Velasco, DC

• Psychiatry Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.